Provider Demographics
NPI:1851540314
Name:CAREY, KEVIN PATRICK JR (DMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PATRICK
Last Name:CAREY
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:180 CHURCH HILL RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-3418
Mailing Address - Country:US
Mailing Address - Phone:207-524-7331
Mailing Address - Fax:
Practice Address - Street 1:180 CHURCH HILL RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LEEDS
Practice Address - State:ME
Practice Address - Zip Code:04263-3418
Practice Address - Country:US
Practice Address - Phone:207-524-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME27851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice